| Immaculate Okeyo, | |
|
7111 Bosque Blvd Ste 303, Waco, TX 76710-4071 | |
| (254) 307-3997 | |
| (254) 300-9935 |
| Full Name | Immaculate Okeyo |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 7111 Bosque Blvd Ste 303, Waco, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538823133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 1056692 (Texas) | Primary |
| Entity Name | Mindful Primary & Psych Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811563497 PECOS PAC ID: 5395146955 Enrollment ID: O20210702001182 |
| Entity Name | Vesper Medical Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164096145 PECOS PAC ID: 4880097237 Enrollment ID: O20210723000182 |
| Entity Name | Immaculate Minds, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235914300 PECOS PAC ID: 2264978345 Enrollment ID: O20240725000444 |
| Mailing Address | Practice Location Address |
|---|---|
| Immaculate Okeyo, 7111 Bosque Blvd Ste 303, Waco, TX 76710-4071 Ph: (254) 307-3997 | Immaculate Okeyo, 7111 Bosque Blvd Ste 303, Waco, TX 76710-4071 Ph: (254) 307-3997 |
Leslie P Smith, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 Gurley Lane, Waco, TX 76706 Phone: 254-313-6000 Fax: 254-313-4531 | |
Tyler Adam Brown, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 120 Hillcrest Medical Blvd Ste 200, Waco, TX 76712 Phone: 877-724-5437 | |
Eidel Nerli Adams, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6901 Medical Pkwy, Waco, TX 76712 Phone: 254-751-4000 | |
Karen Church, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 611 W Hwy 6 Ste 101, Waco, TX 76710 Phone: 254-755-4582 | |
Emily Heeringa, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Hillcrest Medical Blvd, Waco, TX 76712 Phone: 254-202-2000 | |
Jared Blake Griffin, NNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Hillcrest Medical Blvd, Waco, TX 76712 Phone: 254-202-2900 | |
Dallas Leigh Upchurch, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 345 Owen Ln Ste 144a, Waco, TX 76710 Phone: 254-300-4072 Fax: 254-362-2064 |